Individual
AGENDIA MATHEW ATABONGKENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1405 CANADIEN GEESE CT, UPPER MARLBORO, MD 20774-7062
(202) 455-7051
Mailing address
1405 CANADIEN GEESE CT, UPPER MARLBORO, MD 20774-7062
(202) 455-7051
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
05/24/2024
Last updated
05/24/2024
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